Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chiro & Laser St Augustine, PLLC

Organization Health Service Clinic/Center · NPI 1578204459

Chiro & Laser St Augustine, PLLC is a Health Service Clinic/Center in St Augustine, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1092 S Ponce De Leon Blvd Ste K
St Augustine, FL 32084-6018
Phone: (940) 460-2923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1578204459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Palmer — Owner · (909) 800-5839
Other names Chiro & Laser St. Augustine; Chiro & Laser St. Augustine
NPI enumeratedApril 5, 2022
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022
Mailing address1092 S Ponce De Leon Blvd Ste K, St Augustine, FL 32084-6018

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